title: [Orbital and nasal complications secondary to inhaled cocaine abuse].
abstract: The abuse of inhaled cocaine causes chemical sinus pathology by secondary midfacial destruction and necrosis. When midfacial necrosis is already established, other complications may occur related to the proximity of structures such as the orbit or optic nerve. We present the evolution of a young cocaine addict with midfacial destruction, who has had a subperiosteal abscess and optic neuritis over the course of the years. Differential diagnosis and management of these complications are also discussed.
authors.affiliation: Servicio de Otorrinolaringología, Hospital Clínico Universitario Virgen de la Victoria, Málaga, España. puricontri@hotmail.com
authors.forename: Purificación
authors.initials: P
authors.lastname: Contreras Molina
authors.forename: Eva
authors.initials: E
authors.lastname: Flores Carmona
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: Muñoz Palza
authors.forename: Rafael Luis
authors.initials: RL
authors.lastname: Tenor Serrano
mesh_terms: D000038:Abscess / Q000209:etiology*; D000280:Administration, Inhalation; D000328:Adult; D001766:Blindness / Q000209:etiology; D019970:Cocaine-Related Disorders / Q000150:complications*; D003937:Diagnosis, Differential; D004172:Diplopia / Q000209:etiology; D004630:Emergencies; D005145:Face / Q000473:pathology; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis; D006801:Humans; D007511:Ischemia / Q000139:chemically induced* / Q000473:pathology; D008297:Male; D009336:Necrosis; D009668:Nose Diseases / Q000139:chemically induced* / Q000473:pathology; D009669:Nose Neoplasms / Q000175:diagnosis; D009902:Optic Neuritis / Q000139:chemically induced*; D009915:Orbit / Q000473:pathology*; D010000:Osteitis / Q000209:etiology; D010256:Paranasal Sinuses / Q000473:pathology; D010522:Periostitis / Q000209:etiology*